5. Sports Medicine MCQs

An elite overhead throwing athlete presents with isolated weakness in external rotation of the shoulder. Examination reveals atrophy of the infraspinatus but normal supraspinatus bulk. Which anatomical structure is most likely compressing the affected nerve?

A patient requires the creation of a posterolateral portal during ankle arthroscopy. Which nerve is at greatest risk of injury during the establishment of this portal?

A 22-year-old rugby player undergoes an open Latarjet procedure for recurrent anterior shoulder instability with 25% glenoid bone loss. Postoperatively, he presents with profound weakness in elbow flexion and decreased sensation over the lateral aspect of his forearm. Which nerve was most likely injured during the procedure?

A 28-year-old man sustains a dashboard injury to his knee during a motor vehicle collision. Examination reveals a positive posterior drawer test. The Dial test demonstrates 15 degrees of increased external rotation at 30 degrees of knee flexion compared to the uninjured side, but symmetrical external rotation at 90 degrees. Which structures are most likely injured?

A 13-year-old female soccer player with widely open physes requires surgical management for a complete ACL tear. To minimize the risk of physeal arrest while providing optimal stability, which of the following surgical techniques is most appropriate?

A 25-year-old male presents with recurrent anterior shoulder dislocations. CT imaging reveals a 22% anterior glenoid bone defect and a large, engaging Hill-Sachs lesion. Which of the following is the most appropriate definitive surgical management?

A 30-year-old competitive weightlifter reports vague, deep posterior shoulder pain and a painful clicking sensation during the eccentric phase of the bench press. Examination demonstrates a positive jerk test. What is the most likely pathological finding?

A 35-year-old patient involved in a motorcycle collision sustains a knee dislocation. After reduction, the patient has a foot drop and lacks sensation over the dorsum of the foot. Which of the following specific ligamentous injury patterns is most highly associated with this neurologic deficit?

A 19-year-old female gymnast complains of bilateral shoulder pain and feeling like her shoulders 'slip out' when reaching overhead. She has a positive sulcus sign bilaterally and generalized ligamentous laxity. After 9 months of dedicated physical therapy, she remains symptomatic. What is the surgical treatment of choice?

A 24-year-old football player is hit on the lateral aspect of his knee. He presents with medial-sided pain. Examination reveals 8 mm of medial joint line opening at 30 degrees of flexion with a firm endpoint, but he is completely stable to valgus stress at full extension. What is the recommended treatment?

A 32-year-old male presents with a ruptured ACL 3 years following a bone-patellar tendon-bone autograft reconstruction. Radiographs and CT demonstrate significant widening of both the femoral and tibial tunnels, measuring 15 mm each. What is the most appropriate surgical plan?

During an arthroscopic stabilization for recurrent anterior shoulder instability, you note that the labrum is completely intact, but the anterior band of the inferior glenohumeral ligament (IGHL) is avulsed off the humeral neck. What is the correct terminology for this specific lesion?

During a Latarjet procedure for anterior shoulder instability, what is the anatomical landmark that dictates the maximum safe proximal osteotomy of the coracoid process to avoid destabilizing the clavicle and endangering the suprascapular nerve?

You are evaluating a 23-year-old patient with a suspected knee injury following a wrestling match. The Dial test is performed. The patient has 20 degrees greater external rotation on the injured side at 30 degrees of flexion, and 25 degrees greater external rotation at 90 degrees of flexion. What is the most accurate diagnosis?

A 28-year-old rock climber with recurrent anterior shoulder dislocations is found to have an engaging Hill-Sachs lesion but minimal glenoid bone loss. An arthroscopic Bankart repair with 'remplissage' is planned. Which structure is tenodesed into the humeral defect during this adjunctive procedure?

A 22-year-old collegiate wrestler undergoes an anterior cruciate ligament (ACL) reconstruction using a bone-patellar tendon-bone (BPTB) autograft. Postoperatively, what is the most common complication specifically associated with this graft choice compared to a hamstring autograft?

A 20-year-old rugby player presents with recurrent anterior shoulder instability. A 3D CT scan reveals 25% anterior glenoid bone loss. What is the most appropriate definitive surgical management?

A 28-year-old man sustains a dashboard injury to his right knee. Physical examination demonstrates a positive posterior sag sign. Which of the following bundles of the primary injured ligament is tightest in knee flexion?